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District Court Dismisses Lawsuit for Long-Term Disability Benefits Under ERISA Due to Claimant Filing Suit Too Soon

In Frederick v. Life Insurance Company of North America, No. 4:24-CV-00367-SRC, 2025 WL 71864 (E.D. Mo. Jan. 10, 2025), Missouri Eastern District Chief Judge Stephen R. Clark examined the contentious exhaustion…

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Sixth Circuit Finds Employer Is Not Liable under ERISA for Erroneous Benefit Statement Promising Greater Amount of Disability Insurance Benefits

In Higgins v. Lincoln Electric Company, Inc., No. 23-5862, 2025 WL 213846 (6th Cir. Jan. 16, 2025), the court addressed an ERISA-estoppel claim, focusing on the discrepancy between the long-term…

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Seventh Circuit Affirms ERISA Fund’s Denial of Out-of-Network Medical Treatment

In Est. of Gifford v. Operating Eng’rs 139 Health Benefit Fund, No. 23-3356, __F.4th__, 2025 WL 79102 (7th Cir. Jan. 13, 2025), the Seventh Circuit Court of Appeals affirmed the…

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Second Circuit Upholds Dismissal of ERISA Record-Keeping Fees Lawsuit

In Boyette v. Montefiore Med. Ctr., No. 24-1279-CV, 2025 WL 48108 (2d Cir. Jan. 8, 2025), decided by Circuit Judges Kearse, Raggi, and Lohier, Jr., the court upheld the dismissal…

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Tenth Circuit: Unum’s Termination of Long-Term Disability Benefits Was Not An Abuse of Discretion

In an unpublished decision, Isbell v. Unum Life Insurance Company of America, No. 23-1351, 2025 WL 40379 (10th Cir. Jan. 7, 2025), the Tenth Circuit Court of Appeals upheld Unum…

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District Court Overturns Prudential’s Denial of Long-Term Disability Benefits under Employer Plan Based on Well-Documented Evidence from Treating Providers Supporting Total Disability

In Przybyla v. The Prudential Insurance Company of America, No. 3:24-CV-01090-JSC, 2025 WL 28446 (N.D. Cal. Jan. 3, 2025), on Rule 52 cross-motions for judgment, California Northern District Judge Jacqueline…

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